Physician
Heilig Orthopaedics, PLLC
Heilig Orthopaedics, PLLC was paid $716K by Medicaid between Sep 2019 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoHEILIG ORTHOPAEDICS, PLLC
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1043780133assigned 11/30/2018
33bProvider typePediatric Orthopaedic Surgery Physician
28Total paid$716K
24GClaims28,564
24DCodes billed21
24AFirst – last monthSep 2019 – Dec 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,186 | $40K | |
| 2020 | 8,227 | $264K | |
| 2021 | 9,898 | $212K | |
| 2022 | 5,247 | $134K | |
| 2023 | 1,476 | $22K | |
| 2024incomplete | 2,530 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 7,724 | 5,471 | $220K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 8,177 | 4,729 | $173K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 18% | 2,356 | 2,007 | $131K |
| 20610 | 12% | 2,995 | 2,150 | $83K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 4.4% | 3,981 | 3,037 | $31K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 3.3% | 99 | 76 | $23K |
| 95886 | 2.0% | 291 | 223 | $14K | |
| 80305 | 1.1% | 1,235 | 1,041 | $8K | |
| 72100 | <1% | 390 | 335 | $7K | |
| 73562 | <1% | 418 | 344 | $6K | |
| 20552 | <1% | 242 | 173 | $3K | |
| 95910 | <1% | 30 | 27 | $3K |
9 more codes
| 72141 | <1% | 23 | $3K | |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | <1% | 17 | $2K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 165 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 288 | $2K |
| 72040 | <1% | 64 | $1K | |
| 95911 | <1% | 18 | $1K | |
| 64445 | <1% | 20 | $567.33 | |
| 73030 | <1% | 17 | $223.43 | |
| 20605 | <1% | 14 | $222.72 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHEILIG, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Michael R. Heilig, M.D., PLLC | Winchester, KY | $1.26M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.